Active NPI
Belleair Surgery Center LTD
- Ambulatory Surgical Clinic/Center
- Clearwater, FL
National Provider Identifier
1174586606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 855
- Legal business name
- BELLEAIR SURGERY CENTER LTD
- Practice address
- 1130 Ponce de Leon Blvd
Clearwater, FL 33756-1041 - Phone
- (727) 581-4800
- Fax
- (727) 585-0319
- NPI assigned
- Apr 7, 2006
- Last updated
- Sep 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David McKnight
- Title
- VP / Cfo
- Phone
- (972) 789-2816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 855 | FL | Primary |
Addresses
Primary practice location
1130 Ponce de Leon Blvd
Clearwater, FL 33756-1041
Mailing address
1130 Ponce de Leon Blvd
Clearwater, FL 33756-1041
Phone (727) 581-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079061300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080401000175 | FL | Part B Supplier - Ambulatory Surgical Center | 9436235496 | Practice locations: Clearwater, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Belleair Surgery Center LTD
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1174586606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 PONCE DE LEON BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337561041",
"telephone_number": "727-581-4800",
"fax_number": "727-585-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 PONCE DE LEON BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337561041",
"telephone_number": "727-581-4800",
"fax_number": "727-585-0319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLEAIR SURGERY CENTER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "MCKNIGHT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VP / CFO",
"authorized_official_telephone_number": "972-789-2816"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079061300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.